<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>淘宝联盟订单录入</title>
    <link rel="shortcut icon" href="favicon.ico"> <link href="__PUBLIC__/Theme1/css/bootstrap.min.css?v=3.3.6" rel="stylesheet">
    <link href="__PUBLIC__/Theme1/css/font-awesome.min.css?v=4.4.0" rel="stylesheet">
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    <link href="__PUBLIC__/Theme1/css/style.min.css?v=4.1.0" rel="stylesheet">
    <link href="__PUBLIC__/Theme1/static/plupload/upfiless.css" rel="stylesheet" type="text/css" />
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    <link href="__PUBLIC__/Theme1/css/plugins/awesome-bootstrap-checkbox/awesome-bootstrap-checkbox.css" rel="stylesheet">

</head>

<body class="gray-bg">
    <div class="wrapper wrapper-content animated fadeInRight">
        <div class="row">
            <div class="col-sm-12">
                <div class="ibox float-e-margins">
                    <div class="ibox-title">
                        <h5>汇款登记 </h5>
                        <div class="ibox-tools">
                            
                        </div>
                    </div>
                    <div class="ibox-content">
                        <form method="post" action="__URL__/Remit" onsubmit="return validation()" class="form-horizontal" id="form-admin-add" enctype="multipart/form-data">
                            <div class="form-group">
                                <label class="col-sm-1 control-label">会员编号</label>
                                <div class="col-sm-3">                
                                  <input type="text" class="form-control" name="loginname" id="loginname111"/>
                                </div>
                            </div>


                            <div class="form-group">
                                <label class="col-sm-1 control-label">汇款时间</label>
                                <div class="col-sm-3">                
                                  <tr>
                                     
                                      <td>
                                        <input type="text" name="nian" id="nian"  style="width:30px";></input>年
                                        <input type="text" name="yue" id="yue"    style="width:30px";></input>月
                                        <input type="text" name="ri"  id="ri"     style="width:30px";></input>日
                                        <input type="text" name="shi" id="shi"    style="width:30px";></input>时
                                        <input type="text" name="fen" id="fen"    style="width:30px";></input>分 
                                      </td>
                                  </tr>
                                </div>
                            </div>
                                   
                            <div class="form-group">
                                 <label class="col-sm-1 control-label">待激活会员</label>
                                <div class="col-sm-3">
                                    <input type="text" name="loginname" id="loginname2" class="form-control">
                                </div>

                            </div>
              

                            <div class="form-group">
                                <label class="col-sm-1 control-label">汇款金额</label>
                                <div class="col-sm-3">
                                    <input type="text" name="jine" id="jine" class="form-control" />
                                </div>

                            </div>
                            <div class="form-group">
                                <label class="col-sm-1 control-label">汇款人姓名</label>
                                <div class="col-sm-3">
                                    <input type="text" name="xingming" id="xingming" class="form-control" >
                                </div>

                            </div>
                            <div class="form-group">
                                <label class="col-sm-1 control-label">汇款银行</label>
                                <div class="col-sm-3">
                                    <input type="text" name="yinhang" id="yinhang" class="form-control" >
                                </div>

                            </div>
                            <div class="form-group">
                                <label class="col-sm-1 control-label">汇款账号</label>
                                <div class="col-sm-3">
                                    <input type="text" name="zhanghao" id="zhanghao" class="form-control" >
                                </div>

                            </div>
                            <div class="form-group">
                                <label class="col-sm-1 control-label">联系电话</label>
                                <div class="col-sm-3">
                                    <input type="text" name="tel" id="tel" class="form-control" >
                                </div>

                            </div>
                            <div class="form-group">
                                <label class="col-sm-1 control-label">款项说明</label>
                                <div class="col-sm-3">
                                    <input type="text" name="content" id="content" class="form-control">
                                </div>

                            </div>
              
              
                            <div class="hr-line-dashed"></div>
                            <div class="form-group">
                                <div class="col-sm-4 col-sm-offset-2">
                  <input type="hidden" value="up1" name="act" />
                                    <button class="btn btn-primary" type="submit">提交审核</button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
        

    <script src="__PUBLIC__/Theme1/js/jquery.min.js?v=2.1.4"></script>
    <script src="__PUBLIC__/Theme1/js/bootstrap.min.js?v=3.3.6"></script>
    <script src="__PUBLIC__/Theme1/js/content.min.js?v=1.0.0"></script>
    <script src="__PUBLIC__/Theme1/js/plugins/iCheck/icheck.min.js"></script>

<script type="text/javascript" src="__PUBLIC__/Theme1/check/js/jquery.validate.min.js"></script> 

<script type="text/javascript" src="__PUBLIC__/Theme1/check/js/messages_zh.min.js"></script> 

<script type="text/javascript" src="__PUBLIC__/Theme1/check/js/validate-methods.js"></script> 
<script type="text/javascript" src="__PUBLIC__/Theme1/lib/webuploader/0.1.5/webuploader.min.js"></script> 


</body>

</html>


<script type="text/javascript" defer=true>
function validation(){
  
    if(document.getElementById('loginname111').value==''){
        alert('请输入用户名');
        return false;
    }
    if(document.getElementById('nian').value==''){
        alert('请输入汇款时间');
        return false;
    }
    if(document.getElementById('yue').value==''){
        alert('请输入汇款时间');
        return false;
    }
    if(document.getElementById('ri').value==''){
        alert('请输入汇款时间');
        return false;
    }
    if(document.getElementById('shi').value==''){
        alert('请输入汇款时间');
        return false;
    }
    if(document.getElementById('fen').value==''){
        alert('请输入汇款时间');
        return false;
    }
    if(document.getElementById('loginname2').value==''){
        alert('请输入需要激活的用户名');
        return false;
    }
    if(document.getElementById('jine').value==''){
        alert('请输入汇款金额');
        return false;
    }
    if(document.getElementById('xingming').value==''){
        alert('请输入汇款人姓名');
        return false;
    }
    if(document.getElementById('yinhang').value==''){
        alert('请输入汇款银行');
        return false;
    }

    if(document.getElementById('zhanghao').value==''){
        alert('请输入汇款账号');
        return false;
    }if(document.getElementById('tel').value==''){
        alert('请输入联系电话');
        return false;
    }

    if(document.getElementById('content').value==''){
        alert('请输入汇款用途');
        return false;
    }

}    
</script>